| NPI | 1598249542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 090613) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 090613) |
| Enumeration Date | 2018-09-15 |
| Last Update Date | 2018-09-15 |